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NPI Code Detail

MEDICARE: PA ORTHOPEDIC IMAGING ASSOCIATES LLC

MEDICARE: PA ORTHOPEDIC IMAGING ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12640697000OTHERPAIBC

General Provider Information

NPI Number : 1841247665
Entity Type Code : Organization
Provider Name (Legal Business Name) : PA ORTHOPEDIC IMAGING ASSOCIATES LLC
Provider Business Mailing Address
First Line : 3501 MASONS MILL RD
Second Line : SUITE 502
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-3517
Country : US
Telephone Number : 215-659-3151
Fax Number : 215-659-4498
Provider Business Practice Location Address
First Line : 3501 MASONS MILL RD
Second Line : SUITE 502
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-3517
Country : US
Telephone Number : 215-659-3151
Fax Number : 215-659-4498
Authorized Official
Title or Position : OFFICE MANAGER
Name : MARIE HENNIGAR
Credential :
Telephone Number : 215-947-7992
Provider Enumeration Date : 05/27/2006
Last Update Date : 08/22/2020

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Directions to “PA ORTHOPEDIC IMAGING ASSOCIATES LLC ” Practice Location

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